M & S Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05944 Issued in TX

Legal business name

M & S PHARMACY, INC.

Practice address

917 E Austin St
Nacogdoches, TX 75965-2845

Phone

(936) 564-7373

Fax

(936) 564-9338

NPI assigned

Nov 7, 2006

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Bradley

Title

Director

Phone

(512) 863-2506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Glynn Bradley

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1235794579
  NPD (past)
• Sandra Benavides Collier, RPH

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1083277305
  NPD (past)
• Holly Bradley Hinze, PHARM.D.

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1750945291
  NPD (past)
• Nicholas Hudson

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1962066571
  NPD (past)
• Billy Jobe

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1518520493
  NPD (past)
• Hannah Ford Peterson, PHARM D

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1871156844
  NPD (past)
• Karen Lea Turner

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1093378846
  NPD (past)
• Stephen Edward Wyatt, PHARMD, RPH

  • Pharmacist
  • Nacogdoches, TX
  • NPI 1881863868
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1679642250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373",
            "fax_number": "936-564-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373",
            "fax_number": "936-564-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-863-2506"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142098",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyle Thorstenson MD (Thorstenson Eye Clinic Optical)
• Lyle Thorstenson, MD
• Patricia Self Lynch, MA, LPC
• Malcolm Kent Lyon, DO
• M & S Pharmacy, Inc. (M & S Pharmacy)
• Veronica Macias
• Patricia Sue Madison
• Kelly Tricia Madkins, LMSW
• Main Street Anesthesia of Texas, PA
• Mallory Elyse Maisel, FNP-C

• Community/Retail Pharmacy in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.